| NPI | 1922018639 |
|---|---|
| Doing Business As | PEACEHEALTH RIVERBEND OUTPATIENT PHARMACY |
| Doing Business As | PEACEHEALTH EMPLOYEE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRENNAN DUANE BLACK Pharmacy Manager/PIC 541-222-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AK PHAO1124) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OR RP-0000785-CS) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: WA PHNR.FO.60259219) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-09-11 |